Active NPI 1356324669 Individual Practitioner Male Practitioner

Dr. Edward J Pienkos , MD

Urology • Durango, CO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Edward Pienkos, MD is a certified Urology practicing in Durango, CO. With approximately 57 years of clinical experience since graduating from University Of Illinois College Of Med (Chi/Peor/Rock/Chm-Urb) in 1969, Dr. Pienkos delivers high-quality medical care to the local community at 1010 THREE SPRINGS BLVD STE 270.

Dr. Pienkos is affiliated with Mcleod Physician Associates Ii and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least, initial hospital inpatient care per day, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1010 Three Springs Blvd Ste 270

Durango, CO 813018296

Telephone 9707643845

Fax 9707643823

Associated Practice Facility / Clinic

🏢 Catholic Health Initiatives Colorado Facility NPI 1134428428

Medicare Profile & Education

Medical School

University Of Illinois College Of Med (Chi/peor/rock/chm-Urb)

Graduation Year

1969

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Durango, CO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

57 Yrs +24.0 yrs vs City Avg

City Avg: 33.0 Yrs

State Avg: 21.5 Yrs

Regional Practice Density

8 Specialists

Practicing in Durango, CO (257 Statewide)

Telehealth Adoption Rate

37.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

74.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pienkos (57 Years) 57 Yrs

Durango Specialty Average (33.0 Years) 33.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	45	45	$313.73	$122.36
99221 Initial hospital inpatient care per day, typically 30 minutes	37	37	$220.76	$77.37
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	13	$97.20	$46.49
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	14	$144.20	$73.97
45990 Diagnostic examination of anus and rectum under anesthesia	12	12	$295.50	$61.38
52332 Insertion of stent in urinary duct (ureter) using an endoscope	12	12	$1025.00	$152.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	37	37	$312.00	$123.43
99221 Initial hospital inpatient care per day, typically 30 minutes	26	26	$220.00	$78.57
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	15	$96.00	$47.06
45990 Diagnostic examination of anus and rectum under anesthesia	18	18	$294.00	$51.81
52332 Insertion of stent in urinary duct (ureter) using an endoscope	17	17	$1020.00	$112.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	91	52	$97.29	$36.74
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	69	42	$143.00	$68.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$312.00	$127.50
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$229.57	$95.58
52332 Insertion of stent in urinary duct (ureter) using an endoscope	11	11	$1077.00	$133.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	29	20	$95.03	$38.79
99221 Initial hospital inpatient care per day, typically 30 minutes	23	23	$220.09	$100.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	14	$154.50	$71.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	564	300	$32.33	$25.33
99213 Established patient office or other outpatient visit, typically 15 minutes	171	157	$61.54	$50.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	83	83	$93.41	$76.02
52000 Diagnostic exam of bladder and urethra using an endoscope	61	57	$296.05	$80.23
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	59	58	$220.00	$136.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	47	$96.54	$77.31
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	26	24	$504.00	$154.00
52005 Insertion of tube into ureter using an endoscope through bladder area	24	17	$318.38	$97.79
52332 Insertion of stent in urinary duct (ureter) using an endoscope	24	21	$747.00	$116.00
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	14	$67.00	$39.04
52356 Crushing of stone of ureter with insertion of stent using an endoscope	16	15	$647.00	$426.97
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	16	16	$1650.00	$743.85
55700 Biopsy of prostate gland	12	12	$384.25	$116.74
52281 Dilation of bladder canal (urethra) using an endoscope	12	12	$1440.00	$139.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	558	301	$32.00	$25.19
99213 Established patient office or other outpatient visit, typically 15 minutes	129	126	$61.71	$50.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	60	$94.00	$77.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$92.00	$76.20
52000 Diagnostic exam of bladder and urethra using an endoscope	42	40	$300.43	$98.04
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	40	39	$220.00	$135.34
52005 Insertion of tube into ureter using an endoscope through bladder area	33	16	$269.00	$88.73
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	22	22	$309.00	$150.33
52332 Insertion of stent in urinary duct (ureter) using an endoscope	18	14	$1037.50	$165.21
52356 Crushing of stone of ureter with insertion of stent using an endoscope	15	15	$690.13	$436.97
55700 Biopsy of prostate gland	13	13	$216.54	$127.89
52281 Dilation of bladder canal (urethra) using an endoscope	13	13	$1345.85	$148.22
99219 Hospital observation care, typically 50 minutes	11	11	$218.00	$133.91
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	11	11	$1650.00	$828.28
76872 Ultrasound scan of pelvic region through rectum	11	11	$67.00	$33.01

Medical Specialties & State Licenses

CMS Verified: 2022-11-14

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License CO DR.0069785

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Urology

NUCC Taxonomy Code: 208800000X

State License IN 01081847A

Urology

NUCC Taxonomy Code: 208800000X

State License NM MD2007-0640

Urology

NUCC Taxonomy Code: 208800000X

State License FL ME98814

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

88435768 (NM)

Hospital & Practice Group Affiliations

Mcleod Physician Associates Ii

800 E Cheves St, Florence, SC 295062649

Phone: 8436652000

Secondary Practice Locations

2200 W 21st St, Plains Regional Medical Group

Clovis, NM 88101

Phone: 5757697577

1701 S Creasy Ln

Lafayette, IN 479054972

Phone: 7655024400

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dr. Steven Steinberg , MD

Urology

NPI 1225037062

Doctor of Medicine (M.D.)

Dr. James Mcbride , MD

Urology

NPI 1891057923

Doctor of Medicine (M.D.)

Dr. Gregory Taylor , MD

Urology

NPI 1932113743

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

📍

Updated Practice Location November 14, 2022

Registered at 1010 THREE SPRINGS BLVD STE 270, DURANGO, CO 813018296 (Tel: 9707643845)

📍

Updated Practice Location April 26, 2019

Registered at 1701 S CREASY LN, LAFAYETTE, IN 479054972 (Tel: 7655024400)

📍

Updated Business Mailing Address April 26, 2019

Registered at PO BOX 781076, DETROIT, MI 482781076 (Tel: 3175284800)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2019

Urology (License #01081847A in IN)

✅

NPI Profile Active August 15, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location August 15, 2008

Registered at 2200 W 21ST ST, PLAINS REGIONAL MEDICAL GROUP, CLOVIS, NM 88101 (Tel: 5757697577)

📍

Updated Business Mailing Address August 15, 2008

Registered at PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 871256666 (Tel: 5059235356)

👤

Provider Name / Credentials Updated August 15, 2008

Recorded as EDWARD PIENKOS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2008

Urology (License #MD2007-0640 in NM)

🟢

Initial NPI Registration & Enumeration November 22, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356324669

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 22, 2005

Last Update: November 14, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 781076

Detroit, MI 482781076

Phone: 3175284800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.